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Program A: Louisiana State University Medical Center

Program Authorization: Constitution of 1974, Article V8, Section 7; R.S. 17:1519,3215, 3351

PROGRAM DESCRIPTION

Role, Scope, and Mission Statement: The Louisiana State University Medical Center (LSUMC) provides education, research, patient care services, community outreach, and addresses healthcare manpower needs. The Louisiana State University Medical Center encompasses six professional schools- the School of Medicine in New Orleans, the School of Medicine in Shreveport, the School of Nursing, the School of Dentistry, and the School of Allied Health Professions in New Orleans and Shreveport.

The LSU Medical Center educates health professionals and scientists at all levels. LSU Medical Center educates 70% of the health care providers in the state. Its major responsibility is the advancement and dissemination of knowledge in medicine, dentistry, nursing, allied health, public health, and basic biomedical sciences. Statewide programs of clinical and basic health science research results in grants and contracts, publications, technology transfer, and related economic enhancements to meet the changing needs of the State of Louisiana and the nation.

The LSU Medical Center provides vital public service through direct patient care of indigent patients. Health care services are provided through the LSU clinics in New Orleans, the LSU Hospital and Clinics in Shreveport, Dental Clinics and Nursing Clinics in New Orleans, the Allied Health Professions Clinics in New Orleans and Shreveport, and numerous affiliated hospitals and clinics throughout Louisiana. The LSU Medical Center also provides coordination and referral services, continuing education, telemedicine services and public healthcare information.

The LSU Medical Center administers the Health Care Services Division. This division has a dual mission: 1) to assure the availability of acute and primary health care services to the uninsured, and to others with problems of access to medical care, and 2) to serve as the principal sites for the clinical education of future doctors and other health care professionals. The Shreveport school also includes a hospital. The LSU Medical Center is Louisiana’s only comprehensive facility for the professional education of health care providers. The LSU Medical Center also has a major role in public service through direct patient care, especially for a majority of the state’s indigent citizens.

The goals of the LSU Medical Center are:

1. To improve the evaluation of instructional programs in the School of Graduate Studies.

2. To improve the planning, administration and evaluation of research activities on the New Orleans campus.

3. To enhance the Medical Center’s contribution to health care awareness in the State of Louisiana.

4. To enhance the Medical Center’s contribution to economic development in the State of Louisiana.

5. To improve patient satisfaction with the LSUMC healthcare environment.

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indicators are made up of two parts: name and value. The indicator name describes what is being measured. The indicator value is the numeric value or level achieved within a given measurement period. For budgeting purposes, performance indicator values are shown for the prior fiscal year, the current fiscal year, and alternative funding scenarios (continuation budget level and Executive Budget recommendation level) for the ensuing fiscal year (the fiscal year of the budget document).

 

RESOURCE ALLOCATION FOR THE PROGRAM

The Total Recommended amount includes $5,000,000 of Supplementary Recommendations of which all is Statutory Dedications for Cancer Research. Funding for this Supplementary Recommendation is payable out of funding received pursuant to the Master Settlement Agreement reached between certain states and participating tobacco product manufacturers in November 1998.

SOURCE OF FUNDING

The sources of funding for this program are the General Fund, Interagency Transfers, Fees and Self-generated Revenues, and Federal Funds. Interagency Transfers include funds from: (1) the Department of Health and Hospitals for Title XIX (Medicaid) reimbursements at the Louisiana State University Medical Center - Shreveport campus, and (2) Hospital Intra-Agency Agreements where the Schools of Medicine, Dentistry and Allied Health Professions and the Health Care Division of the LSU Medical Center have agreements to provide medical direction and residency at the E.A. Conway, Earl K. Long and University Medical Center and the Medical Center of New Orleans to provide residency training and medical services. Fees and Self-generated Revenues are from: (1) student fees, such as (a) general registration fees, (b) nonresident fees, and (c) other fees; (2) sales and services of educational activities; and (3) other revenues, including (a) Interest on Investments (b) fees for Library Services and (c) miscellaneous fees. Federal Funds are from Medicare reimbursements at the Louisiana State University Medical Center – Shreveport Campus. (Per R.S. 39:32B.(8), see table below for a listing of expenditures out of each Statutory Dedicated fund.)

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$102,841,705

$354,303,816

0

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$102,841,705

$354,303,816

0

 

EXISTING OPERATING BUDGET – November 20, 1998

 

 

 

 

 

$1,955,170

$1,955,170

0

 

Annualization of FY 1998 -1999 Classified State Employees Merit Increase

$2,442,924

$2,442,924

0

 

Classified State Employees Merit Increases for FY 1999 –2000

($4,398,094)

($4,398,094)

0

 

Retirement Rate Adjustment

($5,712,266)

($5,712,266)

0

 

Risk Management Adjustment

$719,057

$2,982,551

0

 

Acquisitions and Major Repairs

($719,057)

($2,982,551)

0

 

Nonrecurring Acquisitions and Major Repairs

$2,498

$2,498

0

 

Legislative Auditor Fees

$30,481

$30,481

0

Adjustment for Civil Service, Training and Other Statewide Interagency Transfer Activities

$481

$64,832

0

Other Adjustments – Raise House Officer Stipends to the Southern Regional Average for Public Hospital

 

 

 

 

 

$97,162,899

$348,689,361

0

 

TOTAL RECOMMENDED

 

 

 

 

 

($5,678,806)

($5,614,455)

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 98.4% of the existing operating budget. It represents 87.1% of the total request ($400,464,604) for this program. The major changes in the existing operating budget are due to the raise in House Officer Stipends to the Southern Regional Average for Public Hospitals ($64,832) and the statewide adjustments cited above.

PROFESSIONAL SERVICES

This program does not have a specific allocation for Professional Services for Fiscal Year 1999-2000.

OTHER CHARGES

This program does not have a specific allocation for Other Charges for Fiscal Year 1999-2000.

ACQUISITIONS AND MAJOR REPAIRS

This program does not have funding for Acquisitions and Major Repairs for Fiscal Year 1999-2000.


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